twitch
Introduction
Introduction Twitching is a manifestation of involuntary movement and a pathological phenomenon of neuro-muscular disease, manifested as an involuntary contraction of the striated muscle. Chinese medicine believes that the cause of convulsions is mainly caused by heat and poison, wind and yang disturbance, wind and phlegm, and blood loss. Common in brain diseases, infectious diseases, poisoning, internal injuries, rickets, eclampsia, postpartum rickets, convulsions in children, tetanus, rabies and other diseases. Clinically, when the disease with convulsions as the main disease is still uncertain, it can be diagnosed as a preliminary diagnosis and dialectical treatment.
Cause
Cause
There are many causes of convulsions: high fever, epilepsy, tetanus, rabies, calcium deficiency, etc. can cause cramps, which are systemic, and localized such as gastrocnemius (commonly known as calf), often due to rapid exercise or work Fatigue or severe twisting of the ankles often occurs when lying down or sleeping.
Chinese medicine believes that the cause of convulsions is mainly caused by heat and poison, wind and yang disturbance, wind and phlegm, and blood loss. Common in brain diseases, infectious diseases, poisoning, internal injuries, rickets, eclampsia, postpartum rickets, convulsions in children, tetanus, rabies and other diseases.
Examine
an examination
Related inspection
Serum Potassium (K+, K) Fluorescence Treponema Antibody Adsorption Test Blood routine urine routine cerebrospinal fluid chemical examination
The hand and foot peristalsis and trembling are obvious to the extremities, which is different from convulsions. In addition to detailed medical history, symptoms and physical examination, blood, urine and stool routine examinations are necessary. Other laboratory tests are performed according to the condition, such as cerebrospinal fluid, blood glucose, urea nitrogen, carbon dioxide binding, and X-ray, B-mode ultrasound, electrocardiogram, CT, etc., to assist in the establishment of diagnosis.
Diagnosis
Differential diagnosis
1, the body tonic convulsions: body muscle rigidity, bursts of twitching, angulation of the horns (head back, the whole body is curved back and bowed), eyes up or gaze, unconscious.
2, limited convulsions: only local muscle twitch, such as only one side of the body twitch, or facial muscle twitch, or finger, toe twitch, or eyeball rotation, nystagmus, blinking action, gaze and so on. Most of them are unconscious. The fashion of the above ventilating can be a few seconds or a few minutes. In severe cases, it can take several minutes or repeated episodes. The convulsion lasts for more than 30 minutes.
3, febrile seizures: mainly seen in children from 6 months to 4 years old when the high heat occurred in the wind. The febrile seizures are short-lived, and the recovery is quick after the pumping. Most of them occur in the early stage of fever. In a fever of the disease, there is often a convulsion, which can rule out diseases and other serious diseases in the brain. The electrical diagram is normal.
